Abstract

MARTIN GONZALEZ, Miguel Ángel et al. Video-laparoscopic thymectomy in myasthenia gravis. Rev Cubana Cir [online]. 2012, vol.51, n.1, pp. 59-64. ISSN 0034-7493.

Introduction: the video-laparoscopy treatment allows the thymus exeresis and the peri-thymic fat like in the open surgery, but with the advantages of a minimal access. Objective: to assess the results of this route achieved in our first patients. Methods: a prospective and descriptive study was conducted in 10 patients presenting with myasthenia gravis from January, 2007 to August, 2008 admitted in the "Hermanos Ameijeiras" Clinical Surgical Hospital. The results were showed in percentages and for the relation of variables chi² was used. Results: according to the Osserman's classification of the myasthenia, 8 were located in the IIB degree and 2 in the IIA one. The 50 % (5 of them) had an associated thymoma. In the 50 % three approaches were used. The surgical time fluctuates from 60 to 180 minutes. The was a 37.5 % (3) of postoperative complications without mortality. The anatomical-pathological report of the sample (4) the 50 % had a thymoma all in I Masaoka's stage. The 50 % of patients are in remission and the other 50 % in a significant improvement. Conclusions: the video-thoracoscopy thymectomy has many advantages, since without a change in surgical technique, the patients to benefit of all the advantages of the minimal access.

Keywords : myasthenia gravis; thymectomy; video-thoracoscopy.